Provider Demographics
NPI:1083790356
Name:FEBUS, MELBY (DDS)
Entity Type:Individual
Prefix:MRS
First Name:MELBY
Middle Name:
Last Name:FEBUS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE TORRES #6144
Mailing Address - Street 2:SUITE 4
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717
Mailing Address - Country:US
Mailing Address - Phone:787-840-8274
Mailing Address - Fax:
Practice Address - Street 1:6144 CALLE TORRES
Practice Address - Street 2:SUITE 4
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1246
Practice Address - Country:US
Practice Address - Phone:787-840-8274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-30
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD111721223G0001X
PR31991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice